JP2020201900A - Medical material set management system, and medical material set management method - Google Patents

Abstract

To provide a medical material set management system capable of easily confirming contents of a surgical operation set.SOLUTION: A medical material set management system includes a first acquisition part for acquiring first set data by acquiring identification information from IC tags attached to medical materials of a medical material group collected on the basis of a list file including information showing a combination of the medical materials, a second acquisition part for acquiring second set data by acquiring the identification information from the IC tags of the medical material group after acquiring the first set data, an inspection part for acquiring inspection data about differences between the first set data and the second set data, and an output part for outputting the inspection data.SELECTED DRAWING: Figure 1

Description

The present invention relates to a medical material set management system and a medical material set management method.

In medical institutions such as hospitals, medical materials are used when performing treatment, examination, surgery, and the like. Such medical materials are managed so that the usage record is grasped and the inventory of medical materials stored in the hospital is not insufficient. As a system for managing such medical materials, a system for managing used medical materials (see Patent Document 1) and a system for managing which department and which patient the medical material was used for (Patent Document 1). 2) etc. have been proposed.
Here, when performing surgery in a hospital, necessary medical materials according to the content of the surgery are prepared several days before the surgery date and stored as a surgery set.

JP-A-2018-041234 Japanese Unexamined Patent Publication No. 2019-008694

However, even if a surgical set is prepared, if medical materials are urgently needed for another surgery, it may be extracted from another pre-prepared surgical set and used. In such a case, it is necessary to re-prepare the surgical set from which the medical material has been extracted by replenishing it later, but in such an emergency, which medical material is extracted from which surgical set. It is complicated to manage the surgery. In addition, it is necessary to confirm whether the contents of the surgery set prepared in advance have been changed even on the day of surgery, but if there are many or types of medical materials set, it may be troublesome to check. take time. In addition, it is preferable that the correspondence between the surgical set and the actually used medical material can be easily confirmed.

The present invention has been made in view of such circumstances, and an object of the present invention is to provide a medical material set management system and a medical material set management method that can easily confirm the contents of a surgical set.

In order to solve the above-mentioned problems, the present invention obtains identification information from an IC tag attached to a medical material collected based on a list file containing information indicating a combination of medical materials, so that the first set data can be obtained. Obtained by the first acquisition unit, the second acquisition unit that acquires the identification information from the IC tag of the medical material after the identification information is acquired by the first acquisition unit, and the first acquisition unit. It has an inspection unit for obtaining inspection data regarding a difference between the obtained first set data and the information obtained by the second acquisition unit, and an output unit for outputting the inspection data.

Further, in the present invention, the first acquisition unit acquires the identification information from the IC tag attached to the medical material collected based on the list file including the information indicating the combination of the medical materials, thereby acquiring the first set data. After the second acquisition unit acquires the identification information by the first acquisition unit, the second acquisition unit acquires the identification information from the IC tag of the medical material, and the inspection unit obtains the identification information by the first acquisition unit. This is a medical material set management method in which an inspection data relating to a difference between the obtained first set data and the information obtained by the second acquisition unit is obtained, and the output unit outputs the inspection data.

As described above, according to the present invention, the contents of the surgical set can be easily confirmed.

It is a schematic block diagram which shows the structure of the medical material set management system 1 by one Embodiment of this invention. It is a figure which shows an example of a list file. It is a figure which shows an example of a set list. It is a figure which shows an example of a set slip. It is a conceptual diagram explaining the operation of the medical material set management system 1. It is a figure which shows an example of the display screen of the inspection result displayed on the screen of a terminal apparatus 30. It is a figure which shows an example of the display screen of the inspection result displayed on the screen of a terminal apparatus 30. It is a figure which shows an example of the display screen of the inspection result displayed on the screen of a terminal apparatus 30.

Hereinafter, the medical material set management system according to the embodiment of the present invention will be described with reference to the drawings.
FIG. 1 is a schematic block diagram showing a configuration of a medical material set management system 1 according to an embodiment of the present invention.
In the medical material set management system 1, the IC label issuing device 10, the reader / writer 20, the terminal device 30, the printer 35, and the medical material set management device 40 are connected via the network 50.
The IC label issuing device 10 prints various information on the IC label 15. The information to be printed is, for example, information related to the target medical material to which the IC (Integrated Circuit) label 15 is attached, and the name of the medical material (trade name, etc.), the standard of the medical material, and the medical material are individually specified. Identification information, etc. to be identified in. The identification information may be information represented by a character string such as alphanumeric characters, or may be information represented in the form of a machine-reading code such as a bar code or a two-dimensional bar code. Hereinafter, the identification information for identifying the medical material may be referred to as a serial number.
Further, the accessory may be in a state where the correspondence between the medical material and the IC label 15 can be understood. For example, the IC label 15 may be attached to the medical material, or the medical material and the IC label 15 may be attached. You may put it in one bag.
The medical material is a material used when performing an examination or surgery in a medical institution, and is, for example, gauze, a bandage, a syringe, or the like. Such medical materials are generally consumables rather than repetitive uses, and their use also replenishes inventory.

The IC label 15 has an area on the surface of the label on which various information (name of medical material (trade name, etc.), standard of medical material, identification information for individually identifying medical material, etc.) can be printed. Further, the back surface of the IC label 15 is provided with an adhesive layer coated with an adhesive material, and can be attached to a medical material or the like. Further, the IC label 15 is provided with an IC tag in a layer between the front surface and the back surface of the label, and can communicate with the reader / writer 20. Identification information for individually identifying the IC label 15 is assigned and stored in the IC tag of the IC label 15. The same information can be used for the identification information stored in the IC tag of the IC label 15 and the identification information printed on the surface of the IC label 15.

The reader / writer 20 communicates with an IC tag within a certain range in which communication is possible, and transmits or receives various information. The reader / writer 20 reads the identification information stored in the IC tag and outputs the read result to the terminal device 30.
Here, the reader / writer 20 has a mounting surface on which the container 25 can be mounted. On this mounting surface, a container 25 in which a medical material with an IC label 15 is housed and a container IC tag is attached is placed. The reader / writer 20 acquires identification information from the container IC tag of the container 25 placed on the mounting surface and the IC label 15 attached to the medical material housed in the container 25. The identification information stored in the container IC tag of the container 25 is used as a container number (also referred to as a set number). In this embodiment, the case where the container number is read from the container IC tag will be described, but a sheet on which a machine reading code (for example, a bar code or a two-dimensional bar code) representing the container number is printed is printed on the container 25. For the mounting and container number, a bar code reader may be used to read this machine reading code.

The container 25 is a storage container that can store a plurality of medical materials. The container 25 is made of resin, for example. A plurality of containers 25 are prepared, and an IC tag for a container is attached to each of them, and a sheet on which a container number (also referred to as a set number) for identifying the container 25 is described is attached at a position visible from the outside. ing. Instead of using the container IC tag of the container 25, a sheet on which a machine reading code (for example, a bar code or a two-dimensional bar code) indicating the container number is printed is used, and this sheet is attached to the container 25. May be good.

The terminal device 30 can communicate with the IC label issuing device 10, the reader / writer 20, and the medical material set management device 40, and transmits or receives various information to each device. The terminal device 30 is provided with a display unit such as a liquid crystal display panel and an input device such as a keyboard and a mouse.
The terminal device 30 is, for example, a computer. The terminal device 30 is mainly used by a person in charge of work in the hospital.
The printer 35 is connected to the terminal device 30 via the network 50, and prints on the print medium based on the print instruction from the terminal device 30. The document to be printed is, for example, a surgical set slip. The surgical set slip is printed based on the set list stored in the set list storage unit 411 of the medical material set management device 40.

The medical material set management device 40 includes a storage unit 410, a communication unit 420, a numbering management unit 430, an inspection unit 440, an additional registration unit 450, an output unit 460, and a control unit 470.
The storage unit 410 has a list file storage unit 411.
The list file storage unit 411 stores the list file.
FIG. 2 is a diagram showing an example of a list file.
The list file is data that manages medical materials used for each operation to be performed together with a container number, a patient ID, an operation name, and the like.
More specifically, the list file is data including set number, patient ID, surgery name, product code, medical material name, standard, serial number, and status information.
The set number is an ID individually assigned to the surgical procedure. That is, even if the name of the operation is the same, if the patient to be operated on and the schedule are different, an individual ID is assigned to the operation type. Further, this set number corresponds to the container identification information stored in the IC tag of the container 25. For example, the same information as the container identification information can be used for the set number. The set number also contains information that can be identified as different from the serial number of the medical material (eg, the character in the leftmost digit of the set number is a specific character (or flag) indicating the set number). It contains information that is not included in the serial number), which identifies which is the set number even if the serial number and the set number are read together by the reader / writer 20. You can do it. In addition, the set number includes a branch number, which makes it possible to identify the same surgical type.
The patient ID is an ID that identifies the patient to be operated on using the operation set. The patient ID may be additionally registered in the list file after the pre-payment inspection using the pre-payment inspection work result information.
The surgical name is the name of the surgical procedure. A product code is information that is assigned to a product (medical material) and can identify the product. The medical material name is the name of the medical material. The standard represents the size, capacity, etc. of the medical material.
The serial number is an ID that individually identifies the medical material. That is, even if the medical materials have the same name, they are IDs that can be individually identified.
The status can include an inspection history and various other information according to the result of inspection by the inspection unit 440.

Returning to FIG. 1, the communication unit 420 transmits and receives various information from the terminal device 30 via the network 50. The communication unit 420 has a first acquisition unit 421 and a second acquisition unit 422.
The first acquisition unit 421 acquires identification information from an IC tag attached to a medical material collected based on a set list obtained from a list file including information indicating a combination of medical materials. When the identification information is acquired in this way, the first acquisition unit 421 uses at least one identification information obtained from the IC tag attached to the medical material collected based on the set list as the first set data. obtain. The obtained first set data is transmitted from the terminal device 30 to the medical material set management device 40.
The timing for obtaining the first set data is, for example, when the picking operation of taking out the target medical material from the shelf and storing it in the container 25 according to the operation set slip based on the set list is completed (for example, at the time of setting creation). ).

FIG. 3 is a diagram showing an example of a set list. This set list is data used as print data (set slip) data for picking medical materials. In this set list, the terminal device 30 copies the list file previously stored in the list file storage unit 411 of the medical material set management device 40 to the storage area of the terminal device 30, and extracts it from the copied list file. Is generated by.
The set list is information that can grasp the combination of the name of the surgery and the medical materials used in the surgery. More specifically, the set list is data including set number, surgery name, product code, medical material name, and standard information.
Such a set list is printed as a set slip. Then, based on this set slip, the medical material is picked and stored in the container 25, so that a surgical set corresponding to each surgery can be created.

FIG. 4 is a diagram showing an example of a set slip. The surgery set slip is a slip in which the surgery name, the product name, and the quantity are described. This set slip is issued by the terminal device 30 printing by a printer at the time of creating the set.
The product name is the name of the medical material. As for the quantity, in the set list, when there are a plurality of medical materials having the same product code, the data of the number of records corresponding to this quantity is stored (two records if two are required). In the set slip, the quantity is described as the quantity. By making multiple records even if the product code is the same at the stage of the set list, the serial number can be associated with each product code at the stage of creating the set. On the other hand, in the set slip, the number is displayed so that the person in charge of creating the set can easily recognize the required number.

The second acquisition unit 422 acquires the identification information from the IC tag of the medical material after the identification information is acquired by the first acquisition unit 421.
Further, the second acquisition unit 422 acquires the identification information from the IC tag of the medical material at a timing different from that at the time of the return check, after the identification information has been acquired by the first acquisition unit 421. Such identification information is transmitted from the terminal device 30 to the medical material set management device 40 as the second set data. The timing for obtaining the second set data is at the time of payout inspection. The payout inspection is carried out after the picking work (set creation) is completed and before the operation using the medical material contained in the container 25 is performed. It is assumed that the timing of this payout inspection is the day before or the day of the surgery to be performed.
Further, the second acquisition unit 422 can also acquire the third set data by acquiring the identification information from the IC tag of the medical material. The third set data is transmitted from the terminal device 30 to the medical material set management device 40. The timing for obtaining this third set data is at the time of return check. The return check is performed after surgery using the medical material contained in the container 25 has been performed. The timing of this return check is assumed to be the day after the surgery is performed.

The numbering management unit 430 issues various numbers used in the medical material set management system 1. For example, the numbering management unit 430 issues a serial number based on the product code.

The inspection unit 440 obtains inspection data regarding the difference between the first set data and the second set data or the third set data.
When the inspection unit 440 inspects the second set data obtained at the time of payout inspection, the identification information included in the first set data and not included in the second set data is insufficient medical material. , The identification information included in the 1st set data and also included in the 2nd set data is the medical material in the list, and the identification information not included in the 1st set data but included in the 2nd set data It is determined for each identification information which status corresponds to the medical material not on the list.
In addition, the inspection unit 440 has used the identification information included in the first set data and not included in the third set data when inspecting the third set data obtained at the time of the return check. , The identification information included in the 1st set data and also included in the 3rd set data is unused, and the identification information not included in the 1st set data but included in the 3rd set data is not listed. It is determined for each of the identification information which status corresponds to.

The additional registration unit 450 registers the identification information corresponding to the status of the non-listed medical material in the usage history data as the used medical material (additional use). Further, the additional registration unit 450 obtains the read identification information by operating from the terminal device 30, even if the identification information read by the reader / writer 20 is other than the identification information of the additionally used medical material. It can also be given and registered in usage history data. For example, even if a medical material with a serial number that is not in the list file is detected at the time of set creation or withdrawal inspection, if it is judged that there is no problem after various checks, a list It is also possible to register in a file.
The output unit 460 outputs the inspection data to the terminal device 30. As a result, the inspection data is displayed on the display screen of the terminal device 30.
The control unit 470 controls each unit of the medical material set management device 40.

As the network 50, any one of the Internet, a LAN (local area network), a public network, and the like, or a combination thereof can be used.

Next, the operation of the medical material set management system 1 in the above-described embodiment will be described.
FIG. 5 is a conceptual diagram illustrating the operation of the medical material set management system 1.
In the medical material set management system 1, when the medical material is delivered to the hospital by a trader or the like, the IC label issuing device 10 prints the IC label 15 corresponding to each of the delivered medical materials (step S110). Here, when the product code, quantity, and numbering instruction of the delivered medical material are input from the terminal device 30, the numbering management unit 430 performs the serial number of the number according to the quantity based on this product code. Is issued. For example, the numbering management unit 430 generates a serial number as identification information that can individually identify the medical material by adding an individual branch number to the product code, and the generated serial number is generated by the communication unit 420. , Transmit to the terminal device 30. In response to this, the terminal device 30 prints on the individual IC label 15 for each serial number by the printer. As a result, for example, an individual IC label 15 corresponding to each of the injection needle, the syringe, and the like is printed (reference numeral 501). For example, if there are 100 delivered syringes, 100 IC labels 15 are printed. When the IC label 15 is printed, the label issuer temporarily stores it on the same shelf so that the correspondence between the IC label 15 and the printed target medical material can be understood. Further, here, since the serial number is added with a branch number to the product code, it is possible to identify which product is based on the serial number.

Next, when creating a surgical set, the terminal device 30 prints a surgical set slip (step S120). Here, when the operation is confirmed, the control unit 470 of the medical material set management device 40 registers the list file in the list file storage unit 411 together with the set number issued by the number management unit 430. The terminal device 30 copies this list file from the list file storage unit 411 to the storage area of the terminal device 30, extracts set slip data from the copied list file, and prints it by the printer 35.

When the surgical set slip is printed, the set creator will take out the required number of medical materials from the shelf where the medical materials are stored according to the product name and quantity written on the surgical set slip, and take out the required number of medical materials. Take out the corresponding IC label 15 stored on the shelf and attach the IC label 15 to each medical material. Then, the set creator takes out the container 25 corresponding to the set number notified from the medical material set management device 40 from the container storage shelf, and puts the medical material to which the IC label 15 is attached into the container 25. Alternatively, when the container IC label is not used for the container 25, one of the unused containers 25 is taken out and the set slip is attached to the container 25 by inserting it into a predetermined insertion point or the like. As a result, the container 25 can be used as a container for the surgical set. Further, in this case, a machine reading code representing the container number assigned to the container 25 is also attached to the container 25. Then, the container 25 is placed on the reader / writer 20. Here, the person in charge of creating the set places the serial number assigned to each of the medical materials in the reader / writer 20 in the container 25 without having to read each of them with a barcode reader. By doing so, each serial number can be read.

When the container 25 containing the medical material is placed, the terminal device 30 attaches the IC tag of the placed container 25 and the IC label 15 attached to the medical material housed in the container 25 to the reader / writer 20. Read by. Here, when the container IC tag is not attached to the container 25 and the machine reading code is attached, the machine reading code may be read by the bar code reader. In this case, the data acquired by the barcode can be acquired as the container identification information (set number), and the identification information obtained by the reader / writer 20 can be distinguished as the serial number of the medical material.
The terminal device 30 copies the list file stored in the list file storage unit 411 of the medical material set management device 40 from the medical material set management device 40 in advance, and when performing the work, the copied list file is copied. Use to extract surgical set information from the container number. The worker performs the work based on this. The list file (reference numeral 502) copied from the medical material set management device 40 contains information on the set number, product code, product name, and standard. At this point, the serial number has not been registered. It is in a state.

The terminal device 30 refers to the list file copied from the medical material set management device 40, and based on the set number of the obtained container 25 and the identification information obtained from the IC label 15, the list file (reference numeral 502) is used. ), A work result file (reference numeral 503) is generated by assigning the serial number corresponding to the product code, and is transmitted to the medical material set management device 40 (step S122).
Here, for example, the terminal device 30 generates a work result file (reference numeral 503) by associating the set number with the product code and the serial number, and transmits the work result file (reference numeral 503) to the medical material set management device 40. As for which product code the serial number corresponds to, since the product code is included as part of the serial number, it is possible to extract the product code included in the serial number and match it with the product code in the set list. it can.
Further, here, the terminal device 30 can display information based on the work result file on the display screen. As a result, the person in charge of work can grasp whether or not the combination of medical materials contained in the container 25 matches the combination of medical materials specified in the set slip at the time of creating the set.

When the medical material set management device 40 receives the work result file from the terminal device 30, the medical material set management device 40 enters the container data to be updated from the list file stored in the list file storage unit 411 based on the set number of the received work result file. The medical material list of the above is acquired, and the product code of the acquired medical material list is updated by writing the corresponding serial number (step S123). By performing this update, the serial number included in the work result file can be associated with the product code of the list file and stored in the list file storage unit 411 (reference numeral 504).

When the set making process is completed in this way, the container 25 is stored in a predetermined shelf and stored for several days (1 week to 2 weeks, etc.) until the day when the surgery is actually performed.

Next, when the timing of pre-payout inspection arrives (step S130), the terminal device 30 takes out the container 25 to be paid out and inspected from the shelf and places it on the reader / writer 20. The terminal device 30 reads the information stored in the IC tag of the container 25 and the IC tag of the IC label 15 housed in the container 25 by the reader / writer 20. On the other hand, the terminal device 30 copies the list file associated with the serial number from the list file storage unit 411 to the storage area of the terminal device 30 (step S131). The terminal device 30 detects the difference between the copied list file and the serial number read by the reader / writer 20, and transmits the detection result to the medical material set management device 40 (step S132). When the medical material set management device 40 receives the detection result, it stores the detection result in association with the list file (reference numeral 505). As a result, it is possible to keep a history of whether or not the combination of medical materials contained in the container 25 has changed from the combination at the time of creating the set before payout. Here, when the set number is acquired, if the container IC tag is not attached to the container 25 and the machine reading code is attached, the machine reading code is read by the barcode reader. , Just get the set number.

In addition, the terminal device 30 displays the detection result on the display screen. As a result, the person in charge of inspection can grasp whether or not the combination of medical materials contained in the container 25 has changed from the combination at the time of creating the set before payout.

Then, depending on the result of the pre-payment inspection, if the combination of the medical materials contained in the container 25 is correct, it can be confirmed that the medical materials can be used as they are when performing the surgery. On the other hand, if the combination is incorrect, the medical materials contained in the container 25 can be reworked in advance so that they can be used for surgery by taking necessary measures.

Next, when the container 25 is returned after the surgical set of the container 25 is used, the inspection person performs a return check (step S140). Here, a case where the pre-payout inspection process is performed after the set creation process is performed and the return check is performed will be described. However, in some cases, the container 25 is placed in the operating room without the pre-payment inspection process. A return check in step S140 may be performed if the item has been paid out and returned.

The person in charge of inspection places the container 25 to be checked for returns on the reader / writer 20.
The terminal device 30 reads out the information stored in the IC tag of the container 25 and the IC label 15 housed in the container 25 by the reader / writer 20. On the other hand, the terminal device 30 copies the list file associated with the serial number from the list file storage unit 411 to the storage area of the terminal device 30 (step S141). Here, when the set number is acquired, if the container IC tag is not attached to the container 25 and the machine reading code is attached, the machine reading code is read by the barcode reader. , You may try to get the set number.
The terminal device 30 detects the difference between the copied list file and the serial number read by the reader / writer 20, and transmits the detection result to the medical material set management device 40 (step S142). When the medical material set management device 40 receives the detection result, it stores the detection result in association with the set list (reference numeral 506). As a result, at the time of the return check, it is possible to keep a history of whether or not the combination of medical materials contained in the container 25 has changed from the combination at the time of creating the set, and a history of the medical materials used.
In addition, the terminal device 30 displays the detection result on the display screen. As a result, the person in charge of inspection can grasp whether or not the combination of medical materials contained in the container 25 has changed from the combination at the time of creating the set in the return check.

6, 7, and 8 are diagrams showing an example of an inspection result display screen displayed on the screen of the terminal device 30.
FIG. 6 is a diagram showing an example of a screen on which the detection result in the set creation in step S120 of FIG. 5 is displayed.
In this figure, a display area (reference numeral 550) showing the relationship between the detection result and the list file is displayed on the left side of the screen. In this display area, the product code, medical material name, standard, and serial number included in the list file are displayed. Then, among the medical materials included in the list file, the serial number of the IC label 15 that could be read when the set of step S120 was created is displayed with a gray background for the medical material including the serial number. For the serial number of the IC label 15 that was not readable (reference numeral 551, reference numeral 553), the background of the medical material containing the serial number is displayed as white (reference numeral 552). In this way, the terminal device 30 displays each of the medical materials included in the list file in a different display mode depending on whether or not it can be read. As a result, by reading the container 25 with the reader / writer 20, it is possible to easily grasp whether or not the medical materials previously stored in the container 25 can be picked so as to be a combination registered in the list file. it can. For example, by displaying the background as gray, it is possible to indicate that the medical material is a medical material in the list indicating that the medical material is contained in the container 25 as shown in the list file.
On the other hand, it can be understood that the medical material whose background is displayed in white is a medical material that is registered in the list file but is not stored in the container 25. The medical material whose background is displayed in white in this way can indicate that it is a deficient medical material. As a result, it is possible to take necessary measures such as additionally storing the medical material shown to be insufficient medical material in the container 25.

On the other hand, on the right side of the screen, a display area (reference numeral 5600) is displayed in which the detection result of the non-list medical material, which is the medical material detected at the time of creating the set, is displayed, although it is not registered in the list file. This is because medical materials that are not included in the list file are accidentally put in the container 25 when creating the surgery set, or if there is a product code in the list file but a large number of items are put in, other cases. Factors include the case of contamination from the surgical set. Here, since the medical materials are given different serial numbers even if they have the same product code, if the individual products have different products even if the product code is the same, it is detected that they are replaced. Can be done.

Here, the person in charge of inspection is asked to use the non-listed medical material displayed in the display area of reference numeral 560 and the medical material displayed in reference numeral 550 (particularly, the medical material whose serial number cannot be read, which is indicated by reference numeral 552). Based on the product code included in the serial number, you can check if it matches the product code included in the list file. Then, for the matching medical material, a predetermined operation button for reflecting in the list file is clicked with a mouse or the like. As a result, the additional registration unit 450 additionally registers the list file. As a result, even if some of the medical materials stored in the container 25 are different from the list file at the time of creating the set, after confirming that there is no problem, the medical materials that do not have any problem are reflected in the list file. It is possible to allow changes that occur when the set is created. In addition, if the replacement is not appropriate, necessary measures such as taking out inappropriate medical materials can be taken.

FIG. 7 is a diagram showing an example of a screen on which the detection result in the payout inspection in step S130 of FIG. 5 is displayed.
In this figure, a display area (reference numeral 600) showing the relationship between the detection result and the list file is displayed on the left side of the screen. In this display area, the product code, medical material name, standard, and serial number included in the list file are displayed. Then, among the medical materials included in the list file, the serial number of the IC label 15 that could be read when the pre-payment inspection process in step S130 was performed has a background on the medical material including the serial number. For the serial number of the IC label 15 that is displayed as gray (reference numeral 610, reference numeral 630, reference numeral 650) and cannot be read, the background of the medical material containing the serial number is displayed as white (reference numeral 620, reference numeral 620). 640). In this way, the terminal device 30 displays each of the medical materials included in the list file in a different display mode depending on whether or not it can be read. As a result, by reading the container 25 with the reader / writer 20, it is possible to easily grasp whether or not the medical material previously stored in the container 25 exists at the time of payout inspection as originally planned. For example, by displaying the background as gray, it is possible to indicate that the medical material is a medical material in the list indicating that the medical material is contained in the container 25 as originally planned.
On the other hand, it can be understood that the medical material whose background is displayed in white is the medical material taken out from the container 25 at any timing between the time of creating the surgical set and the time of payout inspection. The medical material whose background is displayed in white in this way can indicate that it is a deficient medical material. As a result, it is possible to take necessary measures such as additionally storing the medical material shown to be insufficient medical material in the container 25.

On the other hand, on the right side of the screen, a display area (reference numeral 700) is displayed in which the detection result of the non-listed medical material, which is a medical material that was not registered in the list file but was detected at the time of inspection, is displayed. This is because if you accidentally put medical materials that are not included in the list file into the container 25 when creating the surgery set, or if there is a product code in the list file but you put in a large number of items, the surgery set A factor may be the case where the medical material with the same product code is input for the purpose of replenishment because the medical material was taken out from the surgical set at any timing between the time of preparation and the time of delivery inspection. Here, since the medical materials are given different serial numbers even if they have the same product code, if the individual products have different products even if the product code is the same, it is detected that they are replaced. Can be done.

Here, the person in charge of inspection could not read the non-listed medical material displayed in the display area of reference numeral 700 and the medical material displayed in reference numeral 600 (particularly, the serial numbers shown in reference numerals 620 and 640). (Medical material), and based on the product code included in the serial number, it is possible to confirm whether it matches the product code included in the list file. Then, for the matching medical material, a predetermined operation button for reflecting in the list file is clicked with a mouse or the like. As a result, the additional registration unit 450 additionally registers the list file. As a result, even if some of the medical materials stored in the container 25 are replaced at the time of payout inspection, it is possible to check whether there is any problem and reflect the medical materials that have no problem in the list file. It is possible to tolerate changes that have occurred since the set was created. In addition, if the replacement is not appropriate, necessary measures such as taking out inappropriate medical materials can be taken.

FIG. 8 is a diagram showing an example of a display screen when the detection result in the return check in step S140 of FIG. 5 is displayed.
On the left side of the screen, a display area (reference numeral 800) showing the relationship between the detection result and the list file is displayed. In this display area, the product code, medical material name, standard, and serial number included in the list file are displayed. Then, among the medical materials included in the list file, the serial number of the IC label 15 that could be read when the return check process of step S140 was performed has a gray background for the medical material including the identification information. The serial number of the IC label 15 that could not be read is displayed as white for the medical material containing the serial number (reference numeral 810, reference numeral 830) (reference numeral 820). In this way, the terminal device 30 displays each of the medical materials included in the list file in a different display mode depending on whether or not it can be read. As a result, by reading the container 25 with the reader / writer 20, it is possible to easily grasp which of the medical materials previously stored in the container 25 has actually been used. For example, regarding medical materials used during surgery, after being taken out of the container 25, the IC label 15 is discarded by being put into a predetermined disposal box outside the container 25, and the unused medical materials are discarded. , Remains in the container 25 as it is. Therefore, the medical material whose background is displayed in gray indicates that it is the medical material used during the surgery (used medical material), and the medical material whose background is displayed in white indicates that the surgical set is created. It indicates that it was sometimes placed in container 25, but was returned without being used in surgery (unused medical material). Thereby, whether or not the medical material prepared as the surgical set was actually used can be grasped by reading the returned container 25 with the reader / writer 20.

On the other hand, on the right side of the screen, a display area (reference numeral 900) is displayed in which the result of detecting the medical material that was not registered in the list file but was detected at the time of the return check as an unlisted medical material is displayed. .. Here, in surgery, depending on the situation of surgery, there may be cases where medical materials that are not in the list file are used. In such a case, when the medical material not in the list file is taken out from a predetermined shelf or the like and additionally used in surgery, the IC label 15 of the used medical material is put into the container 25. Such additionally used medical materials are displayed as off-list medical materials. Regarding the medical material not on the list detected in this way, an instruction for additional registration is input from the return checker via the input device of the terminal device 30, and is transmitted to the medical material set management device 40 for additional registration. The unit 450 can be additionally registered as a usage record in the list file storage unit 411 as a medical material used for the patient. The determination as to whether or not additional registration may be performed can be made with reference to the reason for the determination as an unlisted medical material in the display area (reference numeral 900). The IC label 15 of the used medical material can be read in the container 25, the result can be confirmed on the screen, and additional registration instructions can be entered, so additional registration can be performed, so it is additionally used. It is possible to easily manage medical materials.

The reason why it is determined as an off-list medical material is displayed in the display area (reference numeral 900) in association with the serial number (reference numeral 910). Reasons for display include, for example, "constant", "difference in set", "difference in patient", "difference in set / difference in patient", "non-display" and the like.
The "constant" indicates the case where the read medical material is additionally used. This can be determined to be a constant when the inspection unit 440 detects that the IC label 15 has been read during the return check, although it is not in the list file.

“Difference in set” indicates that the patient IDs corresponding to the read medical materials are the same, but the corresponding surgical sets are different. Such cases were removed from the surgical set of container 25 prepared for the first surgery, for example, when multiple different types of surgery were performed on the same patient in one surgery. It is conceivable that the medical material was placed in a container 25 prepared for the second surgery. The inspection department 440 explained the reason when the serial number of the detected medical material was detected together with the container 25 of the second surgical set of the same patient even though it was registered in the first surgical set. Judge as "set difference" and output.
"Patient difference" corresponds to the case where the surgical name corresponding to the serial number of the read medical material is the same, but the corresponding patients are different. In such a case, although the surgical name is the same, it is conceivable that the medical material taken out from the surgical set of the container 25 of one patient is placed in the container 25 of another patient. The inspection unit 440 outputs the reason as "patient difference" when the operation name corresponding to the serial number of the detected medical material corresponds to the operation name but the patient ID is different from the list file.

"Difference in set / difference in patient" corresponds to the case where the patient and the operation name corresponding to the serial number of the read medical material are different. In such a case, it is conceivable that any of the medical materials among the containers 25 having different surgical names and different patients are placed in the surgical set from one container 25 to the other container 25. When the operation name and the patient ID corresponding to the serial numbers of the detected medical materials are different from the list file, the inspection unit 440 outputs the reason as "set difference / patient difference".
"Hide" corresponds to a case where none of the above reasons applies. When the inspection unit 440 detects that none of the above reasons is applicable, it sets it as "non-display". In this case, the terminal device 30 displays the reason in a state where the reason is not described in the reason column.
Since the reason can be specified in this way, it is useful to determine whether the IC label 15 (medical material) was used for any reason.

According to the embodiment described above, since the medical material is managed by using the IC label instead of the barcode, it is not necessary to read each barcode of the medical material with a barcode reader. The reading operation can be simplified. As a result, the reading work time can be shortened.
In addition, since individual serial numbers are assigned to medical materials, it also contributes to the improvement of traceability.

The medical material set management device 40 or the terminal device 30 in the above-described embodiment may be realized by a computer. In that case, the program for realizing this function may be recorded on a computer-readable recording medium, and the program recorded on the recording medium may be read by the computer system and executed. The term "computer system" as used herein includes hardware such as an OS and peripheral devices. Further, the "computer-readable recording medium" refers to a portable medium such as a flexible disk, a magneto-optical disk, a ROM, or a CD-ROM, or a storage device such as a hard disk built in a computer system. Further, a "computer-readable recording medium" is a communication line for transmitting a program via a network such as the Internet or a communication line such as a telephone line, and dynamically holds the program for a short period of time. It may also include a program that holds a program for a certain period of time, such as a volatile memory inside a computer system that serves as a server or a client in that case. Further, the above program may be for realizing a part of the above-mentioned functions, and may be further realized for realizing the above-mentioned functions in combination with a program already recorded in the computer system. It may be realized by using a programmable logic device such as FPGA (Field Programmable Gate Array).

Although the embodiments of the present invention have been described in detail with reference to the drawings, the specific configuration is not limited to this embodiment, and the design and the like within a range not deviating from the gist of the present invention are also included.

1 ... Medical material set management system, 10 ... IC label issuing device, 15 ... IC label, 15 ... (Integrated Circuit) label, 20 ... Reader / writer, 25 ... Container, 30 ... Terminal device, 35 ... Printer, 40 ... Medical material Set management device, 50 ... network, 410 ... storage unit, 411 ... list file storage unit, 420 ... communication unit, 421 ... first acquisition unit, 422 ... second acquisition unit, 430 ... numbering management unit, 440 ... inspection unit , 450 ... Additional registration unit, 460 ... Output unit, 470 ... Control unit

Claims (6)

The first acquisition unit that obtains the first set data by acquiring the identification information from the IC tag attached to the medical material collected based on the list file containing the information indicating the combination of the medical materials.
After the identification information is acquired by the first acquisition unit, the second acquisition unit that acquires the identification information from the IC tag of the medical material, and the second acquisition unit.
An inspection unit that obtains inspection data regarding the difference between the first set data obtained by the first acquisition unit and the information obtained by the second acquisition unit, and an inspection unit.
An output unit that outputs the inspection data and
Medical material set management system with. The second acquisition unit reads the identification information from the IC tag of the medical material at the time of pre-payment inspection.
The inspection unit is included in the first set data, and the identification information that is not included in the second set data, which is the information obtained by the second acquisition unit at the time of the payout inspection, is insufficient medical material, the first item. The identification information included in the 1-set data and also included in the 2nd set data is the medical material in the list, and the identification information not included in the 1st set data but included in the 2nd set data. The medical material set management system according to claim 1, wherein is determined for each of the identification information as to which status corresponds to the medical material not listed. The second acquisition unit reads the identification information from the IC tag of the medical material at the time of returning check,
The inspection unit is included in the first set data which is the information obtained by the first acquisition unit, and is included in the third set data which is the information obtained by the second acquisition unit at the time of the return check. The identification information that is not used is used, the identification information that is included in the first set data and is also included in the third set data is unused, and is not included in the first set data and is not included in the first set data. The medical material set management system according to claim 1 or 2, wherein the identification information included in the set data is classified as an unlisted medical material, and which status is applicable to each of the identification information. The medical material set management system according to claim 2 or 3, further comprising an additional registration unit that registers identification information whose status corresponds to a medical material not listed in the list file as used medical material. The collected medical materials are housed in a container and
Container identification information is assigned to the container.
The medical material set management system according to any one of claims 1 to 4, wherein the container identification information is registered in the list file. The first acquisition unit acquires the first set data by acquiring the identification information from the IC tag attached to the medical material collected based on the list file containing the information indicating the combination of the medical materials.
After the identification information is acquired by the first acquisition unit, the second acquisition unit acquires the identification information from the IC tag of the medical material.
The inspection unit obtains inspection data regarding the difference between the first set data obtained by the first acquisition unit and the information obtained by the second acquisition unit.
A medical material set management method in which an output unit outputs the inspection data.

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